Paediatric orthopaedics consultation hour - Clinic for Trauma Surgery, Orthopaedics and Plastic Surgery

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Clinic for Trauma Surgery, Orthopaedics and
Plastic Surgery

Paediatric orthopaedics consultation hour

Paediatric orthopaedics at the University Medical Centre Göttingen is an independent department in which a highly specialised team treats infants, toddlers and adolescents with congenital or acquired musculoskeletal problems.

Together with the medical specialities of paediatric neurosurgery (Prof. H. Ludwig and team) and paediatric surgery and urology (Dr. F. Kahl and team), we founded the Children’s Surgical Centre (OPKiZ). The centre collaborates closely with all paediatric disciplines and is linked to the paediatric clinic, the neuropaediatric department, the paediatric cardiology department and the Centre for Social Paediatrics. This helps to ensure that the treatment our little patients receive is the best it can possibly be.

Team

Prof. Dr. med. Anna-K. Hell, Head of the paediatric orthopaedics focus area
Dr. med. Konstantinos Tsaknakis, senior doctor
Dr. med. Heiko M. Lorenz, senior doctor
Ms. Friederike Luise Metzger, training assistant

Secretary’s office

Martina Aue, office of Prof. Dr. Anna Hell 
Frauke Schneider, case manager for paediatric orthopaedics

Emergencies

In an acute emergency, please report here
  • From 7:30 a.m. to 3:30 p.m. – to the paediatric orthopaedic polyclinic (main building; Control Centre B2, Level 4) 
  • Outside of the times mentioned above – to the paediatric polyclinic (Lift B4, Level 1, above the east entrance) or to the orthopaedic trauma surgery polyclinic (Lift C1, Level 1, below the main entrance)

Contact

Consultation hour registration

Monday to Wednesday – 8:00 a.m. to 2:00 p.m., tel.: +49 551 39-14066
Thursday to Friday – 10:00 a.m. to 12:00 p.m., tel.: +49 551 39-8701

Organisational matters

Please contact our case manager Ms. Schneider. 
E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Consultation times

We offer various consultation hours – some in cooperation with other centres and clinics – and will describe them in more detail below. 

General paediatric orthopaedics consultation hour

Children with abnormalities of the musculoskeletal system are more than welcome in our consultation hours on Tuesday and Wednesday. During these consultation hours, we often see children with an internal rotation gait, pes valgus / fallen arches, postural dysfunction or stress-related pain in the back or the hip and knee joints. In most cases, these issues are growth-related phenomena and do not require treatment. Should further measures be necessary, we can perform ultrasound scans and X-rays during the consultation, or we can apply a supportive plaster cast.

Children and adolescents with complex congenital or acquired clinical pictures are also in the right place in our consultation hour. In isolated cases, such as those concerning patients suffering from involuntary spasticity, we offer botulinum toxin injections – a gentle treatment method that can be used to help little patients in many cases.

If a child is set to be operated on, it is important that we work together with the parents to ensure the child’s aftercare treatment is organised perfectly. That is why we provide the opportunity for close coordination in our consultation hour.

Spinal deformities

When children or adolescents have congenital or acquired spinal deformities, the diagnostic and therapeutic challenges, both for the affected families and the team treating the patients, can be particularly great.

We are one of the leading paediatric spinal centres in Germany. More than half of our "spine kids" live far away from our centre or abroad. In partnership with our paediatric neurosurgery and neuroradiology departments, we offer the full range of diagnostic procedures and spinal treatments. We utilise conservative or surgical procedures as needed.

Our focus areas include the treatment of growing spines using telescopic systems (e.g. MAGEC or VEPTR) and surgical care of children with neuromuscular scoliosis. It is particularly important to us here that we effectively coordinate the patient’s care within the relevant specialist groups.

Patients who are scheduled to have a spinal procedure will be admitted to and examined at the hospital a week in advance. Following a patient’s admission, we will then discuss the intended course of treatment in detail with their family.

Safety is our top priority during an operation. It is for this reason that we carry out intraoperative neuromonitoring throughout the procedure in order to keep an eye on spinal cord function. In complex cases and wherever necessary, we can carry out a CT scan during the operation to check the screw positioning.

Once the (often very lengthy) operation is over, we will take care of our little patients in a professional and child-friendly manner at our paediatric intensive care unit.

MAGEC consultation hour

In our MAGEC consultation hour, we often treat children with neuromuscular diseases such as spinal muscular atrophy or paralysis in the context of myelomeningocele. In many cases, the patient's spine will begin to curve early on in childhood. Thanks to an innovative method, we are able to help with this issue. Since December 2011, we have been using a procedure that allows the spine to grow longitudinally in a virtually physiological way, thereby straightening the curvature (otherwise known as scoliosis). This procedure involves implanting magnetically-extendable, telescopic rods – so-called MAGEC® rods – in our patients. Patients then no longer need to wear a corset.

During the MAGEC consultation hour, which takes place four to six times a calendar quarter, mostly on Tuesdays or Wednesdays from 1:00 p.m., the magnetic bars are extended by placing a controller on the surface of the skin. The extension procedure is completely painless, and appointments last 20 minutes on average. These appointments include a focused examination with size and weight determination, an X-ray check and a final consultation. You are more than welcome to schedule an appointment during our consultation hour.

Appointment scheduling

Frauke Schneider
E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Infant and newborn consultation hour

It is always an incredibly joyful moment when you welcome a new family member into the world, but a new arrival can also cause great upheaval in your everyday life. This can be all the more challenging if a child is found to have a paediatric-orthopaedic disorder at birth. We want to support you in this situation, so please feel free to come to us with any questions you may have.

Our infant and newborn consultation hour on Mondays is geared towards all little patients who have not yet reached their first birthday. We deal with the early detection and treatment of hip dysplasia and hip dislocation, clubfoot, pigeon toe and all other less common malpositions and dysplasias of the entire skeleton that occur before children reach the age where they begin walking.

Bringing your child to us early will increase our chances of getting the disease under control quickly and minimising, or even completely avoiding, the need for surgical measures.

Our consultation times

Monday 8:00 a.m. - 1:00 p.m.

Appointment scheduling

Tel. +49 551 39 14066
In urgent cases, please send an e-mail to Martina Aue (This email address is being protected from spambots. You need JavaScript enabled to view it.) or Frauke Schneider (This email address is being protected from spambots. You need JavaScript enabled to view it.).

Growth disorders and deformities

There are many factors that can lead to growth disorders and deformities of the extremities. If the functionality of the musculoskeletal system is impaired at the same time, then treatment is necessary. In our “growth disorders and deformities” consultation hour, we will be happy to advise you about possible therapy options. In most cases, the clinical examination and, if necessary, an X-ray are enough for a differentiated diagnosis. Tomographic imaging may be necessary in isolated cases.

In many cases, we will either see standard deviations that are compensated for by further growth, or small discrepancies that we can only observe and treat conservatively. However, it is not uncommon for deformities to be present that can be corrected with the early use of minimally invasive, surgical growth control. If a patient has significant growth disorders or if their growth potential is largely exhausted, more complex and individually tailored interventions can be considered.

Collaborations

Göttingen Centre for Social Paediatrics (SPZ)

MMC consultation hour

Children with myelomeningocele will often require many doctor’s appointments every year. We would like to make this situation easier for affected families and have set up an MMC consultation hour. During the appointment, the children are examined one after the other by various experts. In addition to paediatric orthopaedists, this includes neurosurgeons, paediatric urologists and surgeons, radiologists, neuropaediatricians, physiotherapists and orthopaedic technicians. This “circuit training” takes around four hours. A final discussion then follows around midday. Our goal is to improve the provision of aids, to provide parents with tips on physiotherapy, and to check and improve the function of the large joints and spine. To avoid parents and children having to get used to new faces every month, we try to ensure that they are always seen by the same team.

The close interaction between patients, parents and colleagues from different disciplines opens up opportunities for innovative therapeutic approaches and often leads to a high level of satisfaction on all sides. And for us as doctors, this framework offers a rare opportunity for exchange and to “think outside the box”.

Would you like to schedule an appointment? Please get in touch with the central office at the Göttingen SPZ

Muscle consultation hour

As part of Prof. Wilichowski's paediatric muscle consultation hour, we offer additional paediatric orthopaedic advice. This consultation hour usually takes place on Wednesdays. Here we can talk to you about interdisciplinary aspects, the possible provision of orthoses or aids, and surgical interventions.

Would you like to schedule an appointment? Please get in touch with the central office at the Göttingen SPZ

Neuro-orthopaedic consultation hour

Neuromuscular diseases affect the entire organism in a variety of ways. For this reason, it is important to ensure that a patient’s course of treatment is coordinated by an interdisciplinary team. The Göttingen SPZ established an interdisciplinary consultation hour a number of years ago, with neuropaediatricians, paediatric orthopaedists, physiotherapists and orthopaedic technicians all involved. With this team and sufficient time, it is possible to discuss the complexities of the disease with you and your child in detail. Our goal is to try and ensure that you are always treated by the same team as often as possible.

Would you like to schedule an appointment? Please get in touch with the central office at the Göttingen SPZ

Children's and Youth Hospital “auf der Bult”, Hanover

Orthopaedic-neurosurgical consultation hour

The Children's and Youth Hospital “auf der Bult” is a modern paediatric hospital with a long Hanoverian tradition and a very special sense of “spirit”. Colleagues at the hospital treat their little patients in a very caring and professional manner. Because the hospital wants to provide children from the region with as complete a range of care as possible, a number of consultation hours are held in partnership with external doctors. Thus, we at the Clinic for Paediatric Orthopaedics, together with the head of Paediatric Neurosurgery at the UMG, Prof. Dr. H. Ludwig, care for patients with neuro-orthopaedic problems of the neuraxis (particularly the head and spine). What we commonly see is, on the one hand, hydrocephalus, in which the outflow of cerebrospinal fluid is reduced, and on the other hand, a curvature of the spine, also called scoliosis. In addition to conservative therapy, we can, in partnership with the paediatric and anaesthesiologic team, offer high-level operations, both in Hanover “auf der Bult” and in Göttingen.

To avoid parents and children having to get used to new faces every time, we do our utmost to ensure that they are always seen by the same team. In terms of doctors, this includes: Ms. Dr. C. Tombois, paediatrician at the SPZ Hannover auf der Bult, Prof. Dr. H. Ludwig, Head of UMG's Paediatric Neurosurgery department, and Dr. H. Lorenz, paediatric orthopaedist at the UMG.

Would you like to schedule an appointment in Hanover? Please get in touch with the central office at the Hamburg SPZ.

Appointment scheduling

Monday to Thursday 9:00 a.m. - 12:00 p.m. and 2:00 p.m. - 4:00 p.m.
Friday 9:00 a.m. - 12:00 p.m.
Tel. +49 511 8115-7712 

Kassel SPZ

Neuro-orthopaedic consultation hour at the Kassel SPZ

Together with Prof. Wilken and his team at the SPZ in Kassel, we have been holding an interdisciplinary consultation hour at their premises every third Monday of the month since 2009. During this consultation hour, we take a look at patients from the Kassel region. The advantage for the patients is that they are being treated in a familiar setting with paediatricians they are familiar with. This enables a direct exchange of information and allows for suitable treatment concepts to be created. Parents can also get advice regarding physiotherapy and orthopaedic technology during the consultation hour, meaning it can truly be described as an “all-round concept” for affected families.

Would you like to schedule an appointment in Kassel? Please get in touch with the central office at the Kassel SPZ.

SPZ at the Eichsfeld clinic

Neuro-orthopaedic consultation hour

Every three months, an interdisciplinary neuro-orthopaedic consultation hour takes place under the direction of the head of the Paediatric Centre in Reifenstein, Dr. Dietlind Klaus. The children are examined by neuropaediatricians, paediatric orthopaedists and physiotherapists, in order to make sure all aspects of the multifaceted diseases are covered. The paediatric orthopaedic examination is carried out by Dr. med. Konstantinos Tsaknakis, senior doctor of the Paediatric Orthopaedic department at the University Medical Centre Göttingen. Intramuscular botulinum toxin injection therapy can be carried out during the consultation hour, with the injection being administered by Ms. Dr. Klaus. If necessary, the children may be accompanied by their orthopaedic technician so that any questions regarding wheelchair and orthosis provision can be answered.

It is not possible for X-ray examinations to be carried out at this location. We therefore ask you to clarify when making an appointment whether it would be useful to bring a recent X-ray image along to our appointment.

Would you like to schedule an appointment? Please get in touch with the SPZ Eichsfeld clinic.

Appointment scheduling

Tel. +49 36076 993380

If you would like to read more about our focus area paediatric orthopaedics, please click here!